JOSEPH PHILLIP PETER (MD) – Pediatrics Physician, NPI 1053343343
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JOSEPH PHILLIP PETER (MD)
3361 Pine Ridge Rd Ste 101
Naples, FL 341093937
Phone: (239) 254-5920
Fax: (239) 254-5921
Type: Location
PO BOX 2147
FORT MYERS, FL 339022147
Phone: (239) 254-5920
Fax: (239) 254-5921
Type: Mailing
332, Medcrest Drive, Crestview, Okaloosa County, Florida, 32536, United States
CRESTVIEW, FL 32536
Phone: (850) 683-5100
Fax: (850) 683-5102
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $425.
Total Amount is formed as General ($425) + Research ($0) + Ownership ($0) = $425.
Last reported payment date: 2024-04-13 • Largest payer in this snapshot: Sekisui Diagnostics, LLC ($425).
Total Amount
$425
General + Research + Ownership
Payments
2
Total payment records
General Amount
$425
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sekisui Diagnostics, LLC | $425 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-12-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150519002489 | I | Pediatric Medicine | FL | TBD |
| I20161227001019 | I | Pediatric Medicine | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34109)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.